Final Examination Booklet
Reimbursement Methodologies Final Examination
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Part A: Answer each of the following questions in a short paragraph. Each answer is worth 20 points. 1. You’re the new director of a hospital health information management department. The chief financial officer has hired you for your expertise in health care reimbursement and needs to know how your department can help with reimbursement. List the most important functions of health information management. 2. Describe the importance of Blue Cross and Blue Shield plans in the evolution of health care coverage. 3. Explain why the lack of universal health care coverage can raise health care costs.
Part B: Answer each of the following questions in one to three sentences. Each answer is worth four points. 1. You work in the hospital’s health information management department. Part of your job is to assist the medical residents with completing records documentation. One of the residents complains that he doesn’t understand why insurance companies need so much documentation and the reimbursement system is so complex. How do you respond? 2. Mary was receiving Medicaid in Texas. When she moves to California,...
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